EP2989216B1 - Procédé pour contrôller d'essai de pré-amplification - Google Patents

Procédé pour contrôller d'essai de pré-amplification Download PDF

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EP2989216B1
EP2989216B1 EP15786827.4A EP15786827A EP2989216B1 EP 2989216 B1 EP2989216 B1 EP 2989216B1 EP 15786827 A EP15786827 A EP 15786827A EP 2989216 B1 EP2989216 B1 EP 2989216B1
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nucleic acid
acid template
amplification
template
mixture
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EP2989216A1 (fr
EP2989216A4 (fr
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Yanhong Kong
Steven Okino
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Bio Rad Laboratories Inc
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Bio Rad Laboratories Inc
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    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6844Nucleic acid amplification reactions
    • C12Q1/686Polymerase chain reaction [PCR]
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    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6844Nucleic acid amplification reactions
    • C12Q1/6851Quantitative amplification
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    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6844Nucleic acid amplification reactions
    • C12Q1/6853Nucleic acid amplification reactions using modified primers or templates
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    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6876Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
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    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
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    • C12Q2527/00Reactions demanding special reaction conditions
    • C12Q2527/146Concentration of target or template
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    • C12Q2545/00Reactions characterised by their quantitative nature
    • C12Q2545/10Reactions characterised by their quantitative nature the purpose being quantitative analysis
    • C12Q2545/101Reactions characterised by their quantitative nature the purpose being quantitative analysis with an internal standard/control

Definitions

  • WO 2013/177265 discloses a quantitative multiplex methylation specific PCR method wherein a synthetic polynucleotide standard is added to the sample to be analysed and which acts as a reference DNA. In a first PCR this standard as well as the target gene are pre-amplified with a single primer set and independently of the methylation status of the target gene. Real time PCR with specific internal primers is then used to quantitate the target gene relative to the standard and to determine its methylation status. Troxler S et al., J. Clin.
  • Microbiol., 49(4): 1339-1346 discloses a RT-PCR assay which employs a GFP template and primers for amplifying the GFP template as internal control and a tenfold dilution series of in-vitro transcribed HEV RNA as standard for quantification and primers for amplifying the standard.
  • a condition e.g. , less-than-expected amplification due to an abnormality or inhibitor
  • the first nucleic acid template and second nucleic acid template may be on separate nucleic acid molecules.
  • the first nucleic acid template and second nucleic acid template are non-overlapping templates on a single nucleic acid molecule. See , e.g. , FIG. 1C .
  • the first nucleic acid template and second nucleic acid template are overlapping templates on a single nucleic acid molecule. See , e.g. , FIG. 1D .
  • the first mixture further comprises a sample (e.g. , a biological sample, or other sample suspected of including a nucleic acid of interest).
  • a sample e.g. , a biological sample, or other sample suspected of including a nucleic acid of interest.
  • the first mixture further comprises a fourth set of primers specific for a sample nucleic acid template
  • the sample nucleic acid template may include a genetic variant (e.g. , CNV, SNP or mutation).
  • the second mixture further may comprise a fifth set of primers specific for a sample nucleic acid template.
  • the fourth and fifth sets of primers may be the same.
  • the fourth and fifth sets of primers may be different ( e.g. , complementary to different or overlapping sequences on the sample nucleic acid template, or differently labeled).
  • the first amplification reaction may be multiplex, e.g. , designed to amplify multiple sample nucleic acid templates.
  • the first mixture thus may further include multiple sets of primers specific for multiple sample nucleic acid templates.
  • the second amplification reaction may be multiplex.
  • the second mixture may further include multiple sets of primers specific for the amplification products of sample nucleic acid templates from the first amplification reaction.
  • the product of the first amplification may be split between multiple "second" mixtures, each designed to detect one or more distinct amplification products of sample nucleic acid templates from the first amplification reaction.
  • the first nucleic acid template and second nucleic acid template are present in equal amounts in the first mixture.
  • the first nucleic acid template and second nucleic acid template may be on the same nucleic acid molecule (single- or double-stranded).
  • the first and second nucleic acid templates are of the same length or within 10 nucleotides of the same length.
  • the first and second nucleic acid templates are 50-2000 nucleotides in length, e.g. , 80-120 or 100-500 nucleotides, or about 100, 200, 250, 300, 500, or 750 nucleotides in length.
  • the first set of primers is the same as the third set of primers.
  • the first and third sets of primers may be different ( e.g. , complementary to different or overlapping sequences on the first nucleic acid template, or differently labeled).
  • the first amplification reaction is PCR. In some embodiments, the first number of cycles is 10 to 20. A condition (e.g. , abnormality or inhibition) may be detected when the difference between the number of cycles required to reach Cq2 and the number of cycles required to reach Cq1 is about 0.01-5 cycles ( e.g. , 0.1-1, less than 1, 0.01-2, 3, 4, 5, 2-5) less than the threshold number of cycles.
  • the first amplification reaction is reverse transcription and the first nucleic acid template is RNA. In some embodiments, the first nucleic acid template is RNA and the second nucleic acid template is DNA. A condition (e.g.
  • abnormality or inhibition may be detected when the difference between the number of cycles required to reach Cq2 and the number of cycles required to reach Cq1 is 0.01-2, (e.g., where the amount of first and second nucleic acid templates is equal (or as close as possible)).
  • the second amplification reaction is real time PCR or digital PCR.
  • the second amplification reaction may be carried out for a second number of cycles.
  • the second number of cycles may be equal to or greater than the first number of cycles.
  • the first set of primers is removed from the product before assembling the second mixture.
  • the product is diluted at least 10-fold, e.g. 20-fold, 10- to 100-fold) in the second mixture, e.g. , as a result of aliquotting.
  • a condition e.g. , less than expected amplification
  • the second nucleic acid assay is a hybridization assay.
  • the reagents for carrying out the second nucleic acid assay include a labeled probe specific for the first nucleic acid template and a labeled probe specific for the second nucleic acid template.
  • the reagents for carrying out the second nucleic acid assay include labeled probes specific for the first and second nucleic acid templates.
  • the first mixture comprises a sample (e.g. , a biological sample, or other sample suspected of including a nucleic acid of interest).
  • the first mixture further comprises a third set of primers specific for a sample nucleic acid template (e.g. , a template included on the suspected nucleic acid of interest).
  • the sample nucleic acid template may include a genetic variant (e.g. , CNV, SNP, or mutation).
  • kits for detecting conditions e.g. , abnormalities or inhibition
  • the kit comprises a first container with a first set of primers specific for a first nucleic acid template; a second container with a second set of primers specific for a second nucleic acid template, and a third set of primers specific for an amplification product of the first nucleic acid template.
  • the third set of primers is in the second container.
  • the container may be a well, tube, package, burst pack, or a contained, defined area ( e.g. , dried on a surface).
  • the first and the third sets of primers may be different.
  • the first and third sets of primers may be the same.
  • the kit further comprises a first labeled probe specific for an amplification product of the first nucleic acid template and a second labeled probe specific for an amplification product of the second nucleic acid template.
  • At least one of the primers in the second set of primers is labeled. In some embodiments, at least one of the primers in the third set of primers is labeled.
  • the kit further includes an amplification enzyme.
  • the kit further includes the first nucleic acid template and the second nucleic acid template, e.g. , on the same nucleic acid molecule (single- or double-stranded).
  • the first and second nucleic acid templates may be in at least one separate container.
  • the first and second nucleic acid templates are in the first container.
  • Pre-amplification is a technique designed to amplify (e.g. , by PCR, some other amplification method, or reverse transcription) target nucleic acids prior to downstream analysis.
  • Downstream analysis techniques include quantitative assays such as qPCR (e.g. , digital PCR or real time PCR), high resolution melt analysis, molecular beacon assays, hybridization assays, and sequencing reactions.
  • a sample comprising nucleic acids will be mixed with (i) DNA primers designed to amplify a target nucleic acid segment, (ii) a polymerase such as Taq or another amplification enzyme (RNA or DNA polymerase or transcriptase), and (iii) appropriate reagents (e.g. , dNTPs and buffer).
  • a polymerase such as Taq or another amplification enzyme (RNA or DNA polymerase or transcriptase)
  • appropriate reagents e.g. , dNTPs and buffer
  • the product optionally diluted or processed to separate the amplification product
  • the pre-amplification step increases the amount of the targeted nucleic acid available for further analysis, and is thus useful for detection, quantification, and analysis of rare sequences (e.g. , a low copy number mutation).
  • PASIC PreAmp Spike-In Control
  • PASIC can be useful for downstream analyses that involve qPCR, sequencing, detection of expression levels, detection of SNPs, CNVs, or other genetic variants.
  • first and second known templates e.g. , synthetic or recombinantly produced nucleic acid molecules
  • first and second known templates e.g. , synthetic or recombinantly produced nucleic acid molecules
  • amplification primers specific for the first template e.g. , synthetic or recombinantly produced nucleic acid molecules
  • appropriate reagents e.g. , polymerase, dNTPs and buffer.
  • the pre-amplification reaction is carried out. If there is an inhibitor or some other abnormality in the sample or reaction, the first template will not be amplified as much as would be expected. This can be determined in downstream processing ( e.g. , a second amplification reaction) as described herein. Detection of an abnormality in amplification of the first template indicates that the targeted nucleic acid in the sample likely was not pre-amplified efficiently either.
  • the pre-amplification may be of DNA templates, and employs, e.g. , PCR.
  • the pre-amplification can be run for 4-24 ( e.g. , 10-20, 10-24 or 5-15) cycles, depending on the expected concentration of the target nucleic acid, and the amount of first and second template in the reaction.
  • the second template is not amplified in the pre-amplification. Primers specific for both the first and second templates are, however, present in downstream processing steps ( e.g. , a quantitative amplification reaction).
  • the threshold for determining an "abnormality" can be determined by the user. For example, if pre-amplification is carried out for 10 cycles, the threshold for detecting an abnormality in the second amplification can be set at about 9 cycles ( e.g.
  • the pre-amplification is determined to be abnormal.
  • the pre-amplification control can be used in multiplex reactions, and the product from the pre-amplification (first amplification) may be split into multiple "second" nucleic acid assays.
  • the pre-amplification reaction can include multiple sets of amplification primers specific for different target nucleic acids in the sample.
  • the product of the pre-amplification may be split for multiple downstream analyses, e.g. , each specific for one or more different target nucleic acids in the sample, as well as the first and second nucleic acid template controls.
  • a pre-amplification reaction can include elements outlined above: (i) first and second known templates (e.g. , in equal or known amounts); (ii) amplification primers specific for the first template, (iii) sample suspected of containing target nucleic acids; (iv) amplification primers specific for the target nucleic acids; and (v) appropriate reagents (amplification enzyme, nucleotides, buffer).
  • the pre-amplification reaction is then carried out to produce a product. Assuming the pre-amplification worked, and that the sample included at least some of the target nucleic acids, the product would include amplification products of the first nucleic acid template and target nucleic acids from the sample.
  • the product of the first amplification can be added to a single reaction mixture for the second nucleic acid analysis, or can be split between multiple tubes (or wells, containers, or locations) for the second nucleic acid analysis.
  • the reaction mixture can include primers specific for the amplification product of the first nucleic acid template, primers specific for the second nucleic acid template, multiple sets of primers specific for the amplification products of the target nucleic acids, and appropriate reagents.
  • each reaction mixture includes primers specific for the amplification product of the first nucleic acid template, primers specific for the second nucleic acid template, primers specific for just one or a subset of the amplification products of the target nucleic acids from the sample, and appropriate reagents.
  • the first amplification is a reverse transcription reaction.
  • the first nucleic acid template is RNA and the first set of primers can include just one primer, e.g. , a poly-T oligonucleotide or an oligonucleotide sequence specific for the known first nucleic acid template.
  • the reverse transcription reaction can include a known first nucleic acid template (RNA), a known second nucleic acid template (RNA or DNA), sample suspected of including target RNA template(s), primer specific for the first nucleic acid template, primer(s) specific for the target RNA templates, and appropriate reagents (e.g. , reverse transcriptase, dNTPs and buffer).
  • the second nucleic acid analysis is PCR
  • the second reaction mixture includes the product of the reverse transcription reaction, primers specific for the amplification product of the first nucleic acid template, primers specific for the second nucleic acid template, primers specific for the amplification product(s) of the target nucleic acids from the sample, and appropriate reagents.
  • the threshold for determining an abnormality can be calculated. This variation is also amenable to multiplex assays, where multiple targets from the sample are detected.
  • the threshold for determining an abnormality in the pre-amplification can be predictably calculated depending on a number of controllable factors. These include the relative concentrations of first and second nucleic acid templates in the pre-amplification, the availability of primers specific for each template, the comparative lengths and G-C content of the first and second templates.
  • the amount of first and second nucleic acid templates in the pre-amplification is equal ( e.g. , the two templates are present on a single nucleic acid), the first and second templates are the same length ( e.g. , 50-500 nucleotides, 80-150 nucleotides, or 100-200 nucleotides), or within a few nucleotides ( e.g. , within 1-10 % of the total length).
  • the G-C content of the first and second nucleic acid templates may be the same, or within 2-5 nucleotides.
  • the pre-amplification reaction including the first and second known nucleic acid templates, and primers specific for the first nucleic acid template may be run alongside the pre-amplification reaction of the sample, e.g. , in a separate well of a multiwell plate or in a separate tube.
  • the pre-amplification reaction including the first and second known nucleic acid templates, and primers specific for the first nucleic acid template may be run in a control well for multiple, successive pre-amplification reactions.
  • the user can go back to the sample and try to separate nucleic acids from the non-nucleic acid material, e.g. , with chromatographic methods or by precipitating and resuspending the nucleic acids, or adding an agent to neutralize a suspected contaminant. If the pre-amplification is determined to be abnormal in the absence of sample, the user can check the temperature or humidity of the amplification instrument. In either case, the user can check to be sure all appropriate reagents were added to the pre-amplification reaction.
  • a "condition" or an "abnormality" in an amplification reaction refers to any factor that results in a level of amplification that is less than anticipated given known template, template concentration, and amplification conditions. Examples include factors that inhibit amplification, e.g. , interfere with or reduce the activity of the amplification enzyme or interfere with the primers or template. Abnormalities can also result from problems with the instrument or reaction ( e.g. , denaturization temperature not reached) that will affect the amplification. Unless otherwise specified, an abnormality will not refer to issues specific to pre-amplification of a targeted sample nucleic acid, e.g. , chromatin interference with intended template or repeat sequences in the sample template that are difficult to amplify.
  • a “cycle” refers to an amplification cycle, which typically includes primer hybridization to a template nucleic acid, primer extension/ polymerization, and denaturation of the template and newly-formed strand.
  • Cq quantification cycle
  • the level of the threshold is selected to capture data during the exponential phase of the reaction.
  • background fluorescence levels can be subtracted from the raw fluorescence data. Background can be based on the initial, stable fluorescence level in the first few cycles, before detectable amplification.
  • Fluorescence threshold may be selected using an instrument specific algorithm, or manually. Data analysis searches data curves for each sample and interpolates a Cq value for that sample crossing the threshold.
  • the specific Cq is a relative value, relative to the starting template copy number, and specific for the instrument, reagents, efficiency of the amplification, sensitivity of the reaction. A lower Cq indicates higher amount of starting template, more efficient amplification.
  • a sample refers to a specimen suspected of carrying a nucleic acid of interest.
  • the sample can be a biological sample, or retrieved from the environment, e.g. , swabbed from a surface, a food sample or from a water treatment facility.
  • the sample can be processed prior to assay, e.g. , to remove non-nucleic acid debris.
  • the term encompasses samples that have been manipulated after their procurement, such as by treatment with reagents, solubilization, sedimentation, or enrichment for certain components.
  • the nucleic acid of interest can be a genetic variant (e.g. , a copy number variant, polymorphism, or mutation), an expression product (e.g. RNA or amplification product thereof), or from an infectious agent ( e.g. , bacteria, phage, virus, or fungus).
  • a “threshold” as described herein refers to a number selected by the user based on the conditions of the particular assay for determining that a pre-amplification reaction is somehow abnormal, e.g. , less than optimal or less than expected given the conditions that can be controlled for ( e.g. , template concentrations and lengths or primer concentrations).
  • the threshold may refer to the tolerated difference between the ⁇ Cq for amplifications of a first and second template and a known number of amplification cycles ( e.g. , the number of cycles in a pre-amplification step).
  • the threshold may refer to the tolerated difference between the amounts of first and second nucleic acids in a reaction, e.g. , as determined in a quantitative hybridization or sequencing reaction.
  • the threshold may refer to the tolerated difference between the expected difference between the amounts of first and second nucleic acids in a reaction and the actual amounts determined in a quantitative assay.
  • the threshold may allow for 1-20 % variation from the expected value (e.g. , 1-10 %, 1-5 %, 5-10 % variation). For example, if the expected ⁇ Cq for amplifications of a first and second template is 10, the threshold for determining that there is an abnormality can be set at 0.1-2 cycles, e.g. , about 0.5 cycles.
  • biological sample encompasses a variety of sample types obtained from an organism.
  • the term encompasses bodily fluids such as blood, blood components, saliva, serum, plasma, urine and other liquid samples of biological origin, solid tissue biopsy, tissue cultures, or supernatant taken from cultured cells.
  • the biological sample can be processed prior to assay, e.g. , to remove cells or cellular debris.
  • samples that have been manipulated after their procurement such as by treatment with reagents, solubilization, sedimentation, or enrichment for certain components.
  • control refers to a sample that serves as a reference, usually a known reference, for comparison to a test sample.
  • a test sample can be taken from a patient suspected of having a disease or carrying a polymorphism, and compared to samples from known disease patients, known polymorphism carriers, or a known normal (non-disease) individual.
  • a control can also represent an average value gathered from a population of similar individuals, e.g., patients or healthy individuals with a similar medical background, same age or weight.
  • a control value can also be obtained from the same individual, e.g. , from an earlier-obtained sample, prior to disease, or prior to treatment.
  • An "internal control” is a control for a reaction or assay that is carried out concurrently with, typically in the same tube, well, surface, or container as the reaction or assay being tested.
  • the internal control can be used to detect abnormalities within the sample.
  • an internal control for a PCR reaction to detect a nucleic acid in a sample could include known PCR primers and template that will be amplified absent inhibitors or some other abnormality in the reaction.
  • controls can be designed for assessment of any number of parameters.
  • One of skill in the art will understand which controls are valuable in a given situation and be able to analyze data based on comparisons to control values. Controls are also valuable for determining the significance of data. For example, if values for a given parameter are widely variant in controls, variation in test samples will not be considered as significant.
  • nucleic acid refers to deoxyribonucleotides or ribonucleotides and polymers thereof in either single- or double-stranded form, and complements thereof.
  • Nucleic acid or oligonucleotide or polynucleotide or grammatical equivalents used herein means at least two nucleotides covalently linked together. Oligonucleotides are typically from 5, 6, 7, 8, 9, 10, 12, 15, 25, 30, 40, 50 or more nucleotides in length, up to 100 nucleotides in length. Nucleic acids and polynucleotides are polymers of any length, including longer lengths, e.g.
  • nucleotide typically refers to a single unit of a polynucleotide, i.e ., a monomer. Nucleotides can be ribonucleotides, deoxyribonucleotides, or modified versions thereof.
  • nucleic acid template refers to a single or double stranded nucleic acid molecule that encompasses a targeted sequence, e.g., a sequence to be amplified or otherwise detected.
  • a nucleic acid template can be defined by the sequences that hybridize to a 5' PCR primer and 3'PCR primer.
  • a nucleic acid template can be longer than the detected portion, e.g. , when it is detected by a probe representing a subsequence of the nucleic acid template.
  • a given nucleic acid template, e.g. , defined by amplification primers can include genetic variants that can be the focus of downstream analysis ( e.g. , detection, quantification or sequencing).
  • a “genetic variant” refers to a mutation, single nucleotide polymorphism (SNP), deletion variant, missense variant, insertion variant, inversion, or copy number variant (CNV).
  • SNP single nucleotide polymorphism
  • CNV copy number variant
  • the present disclosure includes polynucleotides and polypeptides that have substantially similar sequence identity to known markers or sequences.
  • two polynucleotides or polypeptides have "substantial sequence identity" when there is at least about 70 % sequence identity, at least about 80 % sequence identity, at least about 90 % sequence identity, at least about 95 % sequence identity, at least about 99 % sequence identity, or 100 % sequence identity between their amino acid sequences, or when polynucleotides (e.g., polynucleotides encoding the polypeptides) are capable of forming a stable duplex with each other under stringent hybridization conditions or conditions defined by the practitioner.
  • a genetic variant can be detected in a sequence that is less than a full length gene sequence, or outside a defined gene sequence, e.g. , using PCR to amplify a fragment that includes the genetic variant site or a probe that is complementary to a sequence that includes the genetic variant site.
  • sequence identity can be with respect to a portion of the sequence as disclosed herein ( e.g. 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, 100, 200, 500, 1000 or more nucleic acid bases or amino acids in length).
  • probe refers to one or more nucleic acid fragments whose specific hybridization to a sample can be detected.
  • a probe or primer can be of any length depending on the particular technique it will be used for. For example, PCR primers are generally between 10 and 40 nucleotides in length, while nucleic acid probes are more often longer, e.g. , 25-100 or more than a hundred nucleotides, e.g. 100-500 nucleotides in length.
  • the probe or primers can be unlabeled or labeled as described below so that its binding to a target sequence can be detected ( e.g. , with a fluorophore).
  • the probe or primer can be designed based on one or more particular (preselected) portions of a chromosome, e.g. , one or more clones, an isolated whole chromosome or chromosome fragment, or a collection of polymerase chain reaction (PCR) amplification products.
  • PCR polymerase chain reaction
  • the length and complexity of the nucleic acid fixed onto the target element is not critical to the invention. One of skill can adjust these factors to provide optimum hybridization and signal production for a given hybridization and detection procedures, and to provide the required resolution among different genes or genomic locations.
  • Probes and primers can also be immobilized on a solid surface (e.g. , nitrocellulose, glass, quartz, fused silica slides), as in an array.
  • a solid surface e.g. , nitrocellulose, glass, quartz, fused silica slides
  • Techniques for producing high density arrays can also be used for this purpose (see , e.g. , Fodor (1991) Science 767-773 ; Johnston (1998) Curr. Biol. 8: R171-R174 ; Schummer (1997) Biotechniques 23: 1087-1092 ; Kern (1997) Biotechniques 23: 120-124 ; U.S. Patent 5,143,854 ).
  • probes and primers can be modified from the target sequence to a certain degree to produce probes that are “substantially identical” or “substantially complementary to” a target sequence, but retain the ability to specifically bind to ( i.e. , hybridize specifically to) the same targets from which they were derived.
  • a probe or primer is "specific for” or “capable of detecting” a nucleic acid sequence or genetic variant if it is substantially complementary to the sequence or a region that covers or is adjacent to the genetic variant.
  • primers can be designed on either side of the SNP, and primer extension used to determine the identity of the nucleotide at the position of the SNP.
  • a probe may be used in conditions such that it hybridizes only to a genetic variant, or only to a dominant sequence.
  • the term “capable of hybridizing to” refers to a polynucleotide sequence that forms Watson-Crick bonds with a complementary sequence.
  • the percent complementarity need not be 100 % for hybridization to occur, depending on the length of the polynucleotides, length of the complementary region(e.g. 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 90, 100, or more bases in length), and stringency of the conditions.
  • a polynucleotide e.g.
  • primer or probe can be capable of binding to a polynucleotide having 60 %, 65 %, 70 %, 75 %, 80 %, 85 %, 90 %, 91 %, 92 %, 93 %, 94 %, 95 %, 96 %, 97 %, 98 %, 99 % or 100 % complementarity over the stretch of the complementary region.
  • the tolerated percent complementarity or number of mismatches will vary depending on the technique used for detection (see below).
  • hybridization assay is an assay that relies on Watson-Crick binding between complementary nucleic acid strands.
  • the hybridization can involve primer(s) (e.g. , in an amplification or sequencing reaction) or probe(s) (e.g. , a molecular beacon, or interacting FRET probes).
  • the primer(s) and/or probe(s) are labeled.
  • the hybridization assay may include use of intercalating dyes.
  • amplification product refers to a nucleic acid (e.g. , polynucleotide) that results from an amplification reaction, e.g., PCR and variations thereof, reverse transcription, strand displacement reaction (SDR), ligase chain reaction (LCR), transcription mediated amplification (TMA), or Qbeta replication.
  • SDR strand displacement reaction
  • LCR ligase chain reaction
  • TMA transcription mediated amplification
  • Qbeta replication Qbeta replication.
  • a thermally stable polymerase e.g. , Taq, can be used to avoid repeated addition of polymerase throughout amplification procedures that involve cyclic or extreme temperatures (e.g. , PCR and its variants).
  • reagent is used broadly to include assay components, including enzymes, antibodies, probes, binding agents (e.g. , receptor or target), samples, wash fluids, buffers and detection agents.
  • label refers to a composition detectable by spectroscopic, photochemical, biochemical, immunochemical, chemical, or other physical means.
  • useful labels include fluorescent dyes, luminescent agents, radioisotopes ( e.g. , 32 P, 3 H), electron-dense reagents, enzymes, biotin, digoxigenin, or haptens and proteins or other entities which can be made detectable, e.g. , by affinity. Any method known in the art for conjugating a nucleic acid or other biomolecule to a label may be employed, e.g. , using methods described in Hermanson, Bioconjugate Techniques 1996, Academic Press, Inc., San Diego .
  • tag can be used synonymously with the term “label,” but generally refers to an affinity-based moiety, e.g., a "His tag” for purification, or a “strepavidin tag” that interacts with biotin.
  • a "labeled" molecule e.g. , nucleic acid, protein, or antibody
  • the signal from the label can be indicative of the amount of the labeled molecule.
  • FRET Forster resonance energy transfer
  • FRET donor donor chromophore
  • FRET acceptor acceptor chromophore
  • a "FRET signal” is thus the signal that is generated by the emission of light from the acceptor.
  • R 0 is about 50-60 ⁇ for some commonly used dye pairs ( e.g. , Cy3-Cy5).
  • FRET signal varies as the distance to the 6 th power. If the donor-acceptor pair is positioned around R 0 , a small change in distance ranging from 1 ⁇ to 50 ⁇ can be measured with the greatest signal to noise. With current technology, 1 ms or faster parallel imaging of many single FRET pairs is achievable.
  • FRET pair refers to a FRET donor and FRET acceptor pair that are capable of FRET detection.
  • fluorophore fluorophore
  • die fluorescent molecule
  • fluorescent dye fluorescent dye
  • FRET dye fluorescence transfer dye
  • the presently disclosed assays and methods can include use of a range of nucleic acid amplification reactions, e.g., PCR and variations thereof (e.g. TaqMan, real time PCR, quantitative PCR), reverse transcription, strand displacement reaction (SDR), ligase chain reaction (LCR), transcription mediated amplification (TMA), or Qbeta replication.
  • a thermally stable polymerase e.g. , Taq, can be used to avoid repeated addition of polymerase throughout amplification procedures that involve cyclic or extreme temperatures (e.g. , PCR and its variants).
  • PCR Polymerase chain reaction
  • the essential steps include thermal denaturation of a double-stranded target nucleic acid, annealing of the primers to their complementary sequences, and extension of the annealed primers by enzymatic synthesis with DNA polymerase.
  • Taq or another thermostable polymerase e.g. Pfu, Paq5000, Phusion DNA polymerase
  • the portion to be amplified (template) is defined by where the primers bind to the target nucleic acid. See e.g. , Dieffenbach & Dveksler PCR Primer: A Laboratory Manual (Cold Spring Harbor Laboratory Press 2003 ).
  • Quantitative PCR is used to amplify and simultaneously quantify one or more targeted nucleic acid templates.
  • the quantity can be either an absolute number of copies or a relative amount when normalized to a known DNA input (e.g. , an internal or external control) or additional normalizing genes (e.g. , housekeeping gene such as ⁇ -actin).
  • Two common methods for qPCR detection are: (1) non-specific fluorescent dyes that intercalate with double-stranded DNA, and (2) sequence-specific probe(s) labeled with a fluorescent reporter which permits detection only after hybridization of the probe (e.g. , molecular beacon).
  • Reverse transcription can be used to amplify an RNA template.
  • reverse transcriptase and dNTPs are included with a primed RNA molecule to produce cDNA.
  • the "first set of primers” may include only one primer, e.g. , a poly-T oligonucleotide, or a primer that hybridizes to a known sequence on the template transcript or other template RNA molecule.
  • the single stranded cDNA produced by reverse transcription is then used for subsequent PCR. This method can be referred to as RT-PCR (reverse transcriptase PCR), not to be confused with real time PCR, which can be referred to with the same acronym.
  • Transcription mediated amplification is a method that uses RNA transcription (RNA polymerase) and DNA synthesis (reverse transcriptase) to produce RNA amplicon from a target nucleic acid.
  • TMA can be used to target both RNA and DNA.
  • TMA is isothermal and can produce 100-1000 copies per cycle in contrast to PCR, which produces only two copies per cycle. This can result in a 10 billion fold increase of copies within 15-30 minutes.
  • TMA also produces RNA amplicon rather than DNA amplicon. See, e.g. , Kamisango et al. (1999) J. Clin. Microbiol. 37:310 .
  • LCR is a DNA amplification technique based upon the ligation of adjacent nucleic acid probes.
  • the probes are designed to exactly match two adjacent sequences of a specific target DNA.
  • the chain reaction is repeated in three steps in the presence of excess probe: (1) heat denaturation of double-stranded DNA, (2) annealing of probes to target DNA, and (3) joining of the probes by thermostable DNA ligase. After the reaction is repeated ( e.g. , for 20-30 cycles) the production of ligated probe is measured.
  • Real time PCR and the 5'-nuclease activity of Taq DNA polymerase can be used for detecting genetic variants.
  • the assay requires forward and reverse PCR primers that will amplify a region that includes a variant site. Variant discrimination can be achieved using FRET, and one or two allele-specific probes that hybridize to the variant site.
  • the probes have a fluorophore linked to their 5' end and a quencher molecule linked to their 3' end. While the probe is intact, the quencher will remain in close proximity to the fluorophore, eliminating the fluorophore's signal.
  • the variant-specific probe if it is perfectly complementary to the variant allele, it will bind to the target DNA strand and then get degraded by 5'-nuclease activity of the Taq polymerase as it extends the DNA from the PCR primers. The degradation of the probe results in the separation of the fluorophore from the quencher molecule, generating a detectable signal. If the variant-specific probe is not perfectly complementary, it will have lower melting temperature and not bind as efficiently. This prevents the nuclease from acting on the probe.
  • dPCR digital PCR
  • a sample is diluted and partitioned into multiple (hundreds or even millions) separate reaction chambers so that each contains one or no copies of the sequence of interest.
  • dPCR can be used to distinguish differential expression of alleles or disease genes, viral levels, or to detect fetal DNA in circulating blood. While simple in concept, dPCR typically relies on nanofabrication and microfluidic devices, e.g., from Bio-Rad®, Fluidigm®, RainDance®, and Life Technologies®.
  • FRET detection can be used for detection in primer extension and ligation reactions where the two labels are brought into close proximity to each other. It can also be used in the 5'-nuclease reaction, the molecular beacon reaction, and the invasive cleavage reactions where the neighboring donor/acceptor pair is separated by cleavage or disruption of the stem-loop structure that holds them together. FRET occurs when two conditions are met. First, the emission spectrum of the fluorescent donor dye must overlap with the excitation wavelength of the acceptor dye. Second, the two dyes must be in close proximity to each other because energy transfer drops off quickly with distance. The proximity requirement is what makes FRET a good detection method for a number of allelic discrimination mechanisms.
  • a variety of dyes can be used for FRET, and are known in the art. The most common ones are fluorescein, cyanine dyes (Cy3 to Cy7), rhodamine dyes (e.g. rhodamine 6G), the Alexa series of dyes (Alexa 405 to Alexa 730). Some of these dyes have been used in FRET networks (with multiple donors and acceptors). Optics for imaging all of these require detection from UV to near IR (e.g. Alex 405 to Cy7), and the Atto series of dyes (Atto-Tec GmbH).
  • Example dye pairs for FRET labeling include Alexa-405/Alex-488, Alexa-488/Alexa-546, Alexa-532/Alexa-594, Alexa-594/Alexa-680, Alexa-594/Alexa-700, Alexa-700/Alexa-790, Cy3/Cy5, Cy3.5/Cy5.5, and Rhodamine-Green/Rhodamine-Red.
  • Fluorescent metal nanoparticles such as silver and gold nanoclusters can also be used ( Richards et al. (2008) J Am Chem Soc 130:5038-39 ; Vosch et al. (2007) Proc Natl Acad Sci USA 104:12616-21 ; Petty and Dickson (2003) J Am Chem Soc 125:7780-81 Available filters, dichroics, multichroic mirrors and lasers can affect the choice of dye.
  • the presently disclosed pre-amplification verification methods can be used in combination with amplification reactions, or with other nucleic acid analyses, such as high resolution melt (HRM) assays, molecular beacon assays, and nucleic acid sequencing.
  • HRM high resolution melt
  • Such methods can be used to detect genetic variants such as single nucleotide polymorphisms (SNPs), allelic differences (zygosity), and mutations.
  • HRM assays typically involve use of intercalating dyes that bind to double stranded DNA and fluoresce as long as the molecule remains double stranded.
  • the double stranded DNA sample is gradually heated until the strands melt, and fluorescence decreases.
  • Intercalating dyes that can be used in these assays include, for example, SYBR® Green, LC Green, LC Green Plus, ResoLight, EvaGreen®, Chromofy, GreenERTM, and SYTO 9.
  • HRM assays can be used to detect mutations, zygosity, and SNPs. For example, if primers used in the pre-amplification straddle the point of allelic difference in a genetic sequence, two amplification products will be produced, one for each allele. Homozygotes for either allele will have higher melting temperature (later reduction in fluorescence) than heterozygotes, because essentially all nucleic acid strands will be 100 % hybridized (accounting for some small percentage of inaccuracy by the amplification enzyme). In heterozygotes, a more significant percentage of amplification products will hybridize with a mismatch at the site of allelic difference.
  • HRM can also be used to detect methylation, as described, e.g., in Wojdacz & Dobrovic (2007) Nucl. Acids Res. 35:e41 , and to distinguish between samples as described, e.g., in Zianni et al. (2013) J. Biomol. Tech. 24:1 .
  • Molecular beacons can also be used to detect genetic variants such as mutations, zygosity, and SNPs.
  • This method makes use of a specifically engineered single-stranded oligonucleotide probe.
  • the oligonucleotide is designed such that there are complementary regions at each end and a probe sequence located in between. This design allows the probe to take on a hairpin, or stem-loop structure in its natural, isolated state. Attached to one end of the probe is a fluorophore and to the other end a fluorescence quencher. Because of the stem-loop structure of the probe, the fluorophore is in close proximity to the quencher, thus preventing the molecule from emitting any fluorescence.
  • the molecule is also engineered such that only the probe sequence is complementary to the targeted genomic DNA sequence.
  • the probe sequence of the molecular beacon encounters its target genomic DNA sequence during the assay, it will anneal and hybridize. Because of the length of the probe sequence, the hairpin segment of the probe will be denatured in favor of forming a longer, more stable probe-target hybrid. This conformational change permits the fluorophore and quencher to be free of their tight proximity due to the hairpin association, allowing the molecule to fluoresce.
  • the molecular beacon will preferentially stay in its natural hairpin state and no fluorescence will be observed, as the fluorophore remains quenched.
  • the design of molecular beacons allows for a simple diagnostic assay to identify mismatches at a given location. If one molecular beacon is designed to match a wild-type allele and another to match a mutant of the allele, the two can be used to identify the genotype of an individual. If only the first probe's fluorophore wavelength is detected during the assay then the individual is homozygous to the wild type.
  • Calculations for the methods described herein can involve computer-based calculations and tools. For example, the concentration of a given nucleic acid (or difference between the concentrations of two or more nucleic acids), or the Cq of an amplification reaction (or ⁇ Cq of two or more amplification reactions) can be compared by a computer to a threshold value, as described herein.
  • the tools are advantageously provided in the form of computer programs that are executable by a general purpose computer system (referred to herein as a "host computer") of conventional design.
  • the host computer may be configured with many different hardware components and can be made in many dimensions and styles (e.g., desktop PC, laptop, tablet PC, handheld computer, server, workstation, mainframe).
  • Standard components such as monitors, keyboards, disk drives, CD and/or DVD drives may be included.
  • the connections may be provided via any suitable transport media (e.g., wired, optical, and/or wireless media) and any suitable communication protocol (e.g., TCP/IP); the host computer may include suitable networking hardware (e.g., modem, Ethernet card, WiFi card).
  • the host computer may implement any of a variety of operating systems, including UNIX, Linux, Microsoft Windows, MacOS, or any other operating system.
  • Computer code for implementing aspects of the present invention may be written in a variety of languages, including PERL, C, C++, Java, JavaScript, VBScript, AWK, or any other scripting or programming language that can be executed on the host computer or that can be compiled to execute on the host computer. Code may also be written or distributed in low level languages such as assembler languages or machine languages.
  • the host computer system advantageously provides an interface via which the user controls operation of the tools.
  • Software tools can be implemented as scripts (e.g., using PERL), execution of which can be initiated by a user from a standard command line interface of an operating system such as Linux or UNIX. Commands can be adapted to the operating system as appropriate.
  • a graphical user interface may be provided, allowing the user to control operations using a pointing device.
  • the presently disclosed methods are not limited to use with any particular user interface.
  • Scripts or programs incorporating data points and calculations as disclosed herein can be encoded on various computer readable media for storage and/or transmission.
  • suitable media include magnetic disk or tape, optical storage media such as compact disk (CD) or DVD (digital versatile disk), flash memory, and carrier signals adapted for transmission via wired, optical, and/or wireless networks conforming to a variety of protocols, including the Internet.
  • kits including components for use in PASIC.
  • the kit may provide internal control components to establish the efficacy of a pre-amplification reaction.
  • the kit can include (e.g., in separate containers, separated compartments, wells, tubes, packages, burst packs, or contained, defined areas (e.g., dried on a surface)) (i) a first set of primers specific for a first nucleic acid template; (ii) a second set of primers specific for a second nucleic acid template; and (iii) a third set of primers specific for an amplification product of the first nucleic acid template.
  • the first and third sets of primers can be the same, and in that case, included in the same container or compartment.
  • the first and third sets of primers can also be different, e.g. , hybridizing to different or overlapping sequences on the first nucleic acid template or differently labeled.
  • the kit can further include (iv) a nucleic acid (DNA or RNA) comprising the first nucleic acid template; (v) a nucleic acid (DNA or RNA) comprising the second nucleic acid template.
  • a nucleic acid DNA or RNA
  • a nucleic acid DNA or RNA
  • components (iv) and (v) are present in equal amounts in the same container/ compartment, or both the first and second nucleic acid templates are on the same nucleic acid.
  • the kit can also include (vi) a first labeled probe specific for an amplification product of the first nucleic acid template and/or (vii) a second labeled probe specific for an amplification product of the second nucleic acid template.
  • the kit can also include reagents for carrying out the pre-amplification and downstream analyses, e.g. , amplification enzyme(s) (Taq, reverse transcriptase, or other RNA or DNA polymerases), buffers, single nucleotide mixes and intercalating dyes.
  • amplification enzyme(s) Taq, reverse transcriptase, or other RNA or DNA polymerases
  • the kit can also include consumables for carrying out the pre-amplification and downstream analyses, e.g. , multiwell plates, tubes, cuvettes and pipettes.
  • the kit can also include an amplification inhibitor, e.g. , as a control to aid in setting a threshold for determining abnormality in a pre-amplification reaction.
  • Perform qPCR quantitative PCR using pre-amplification product.
  • Cq of Template 1 (Cq1) is ⁇ N cycles less than Cq of Template 2 (Cq2), indicating no abnormality in the pre-amplification reaction.
  • Cq1 and Cq2 should be the same (barring thermodynamic difference between amplifications of T1 and T2); (2) Perform pre-amplification without sample, followed by qPCR.
  • Cq1 and Cq2 should be the same, unless the sample includes inhibitory factor(s).
  • Tube 1 can be used as an internal control, e.g. , to calibrate reactions run in successive multi-well plates.
  • the presence of inhibitory factor(s) can be detected for each sample.
  • Tube 1 (50x): 180mer DNA including Sp-1 and Sp-2 target template sequences Sp-1 primers (2.5- 5 ⁇ M)
  • Tube 2 Sp-1 qPCR primers (20x)
  • Tube 3 Sp-2 qPCR primers (20x)
  • Tube 1 can be used as an internal control, e.g. , to calibrate reactions run in successive multi-well plates.
  • the presence of inhibitory factor(s) can be detected for each sample.
  • both control templates are on one nucleic acid, the template concentrations will necessarily be the same.

Claims (15)

  1. Procédé de détection d'un état dans une première réaction d'amplification, comprenant :
    l'assemblage d'un premier mélange, dans lequel le premier mélange comprend une première matrice d'acide nucléique, une seconde matrice d'acide nucléique, un premier ensemble d'amorces spécifiques de la première matrice d'acide nucléique, et un échantillon comprenant des acides nucléiques échantillons ;
    la réalisation de la première réaction d'amplification avec le premier mélange pendant un premier nombre de cycles pour générer un produit ;
    l'assemblage d'un second mélange, dans lequel le second mélange comprend le produit, un deuxième ensemble d'amorces spécifiques de la seconde matrice d'acide nucléique, et un troisième ensemble d'amorces spécifiques d'un produit d'amplification de la première matrice d'acide nucléique ;
    la réalisation d'une seconde réaction d'amplification avec le second mélange, dans laquelle la seconde réaction d'amplification est quantitative ;
    la détermination et la comparaison du nombre de cycles requis pour atteindre Cq pour l'amplification de la première matrice d'acide nucléique (Cq1) et du nombre de cycles requis pour atteindre Cq pour l'amplification de la seconde matrice (Cq2) ; et
    dans lequel un état dans la première réaction d'amplification est détecté lorsque la différence entre le nombre de cycles requis pour atteindre Cq2 et le nombre de cycles requis pour atteindre Cq1 est inférieure à un nombre de cycles seuil.
  2. Procédé selon la revendication 1, dans lequel
    (i) le nombre de cycles seuil est à moins d'1 cycle du premier nombre de cycles, de préférence le premier mélange comprend en outre un quatrième ensemble d'amorces spécifiques d'une matrice d'acide nucléique échantillon ; et/ou
    (ii) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont présentes en des quantités égales dans le premier mélange ; et/ou
    (iii) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont des matrices non chevauchantes sur une seule molécule d'acide nucléique ; et/ou
    (iv) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont des matrices chevauchantes sur une seule molécule d'acide nucléique ; et/ou
    (v) le premier ensemble d'amorces est le même que le troisième ensemble d'amorces.
  3. Procédé selon la revendication 1 ou 2, dans lequel
    (i) la première réaction d'amplification est une PCR [« Polymerase Chain Reaction », réaction en chaîne par polymérase] ; et/ou
    (ii) le premier nombre de cycles est de 10-20.
  4. Procédé selon la revendication 1 ou 2, dans lequel la première réaction d'amplification est une transcription inverse et la première matrice d'acide nucléique est de l'ARN, de préférence la seconde matrice d'acide nucléique est de l'ADN.
  5. Procédé selon l'une quelconque des revendications précédentes, dans lequel
    (i) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont de même longueur ou à moins de 10 nucléotides de la même longueur ; et/ou
    (ii) la seconde amplification est une PCR en temps réel ou une PCR numérique ; et/ou
    (iii) le premier ensemble d'amorces est séparé du produit avant l'assemblage du second mélange ; et/ou
    (iv) le produit est dilué au moins 10 fois dans le second mélange.
  6. Utilisation d'un équipement comprenant :
    un premier récipient avec un premier ensemble d'amorces spécifiques d'une première matrice d'acide nucléique ;
    un second récipient avec un deuxième ensemble d'amorces spécifiques d'une seconde matrice d'acide nucléique,
    la première matrice d'acide nucléique et la seconde matrice d'acide nucléique ; et
    un troisième ensemble d'amorces spécifiques d'un produit d'amplification de la première matrice d'acide nucléique,
    dans un procédé de détection d'un état dans la première réaction d'amplification selon l'une quelconque des revendications 1 à 5.
  7. Utilisation selon la revendication 6, dans laquelle
    (i) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont dans le premier récipient ; et/ou
    (ii) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont présentes en des quantités égales.
  8. Utilisation selon la revendication 6 ou 7, dans laquelle
    (i) le troisième ensemble d'amorces est dans le second récipient ; et/ou
    (ii) l'équipement comprend en outre une première sonde marquée spécifique d'un produit d'amplification de la première matrice d'acide nucléique et une seconde sonde marquée spécifique d'un produit d'amplification de la seconde matrice d'acide nucléique.
  9. Utilisation selon l'une quelconque des revendications 6-8, dans laquelle
    (i) au moins l'une des amorces dans les deuxième et troisième ensembles d'amorces est marquée ; et/ou
    (ii) l'équipement comprend en outre une enzyme d'amplification ; et/ou
    (iii) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont des matrices non chevauchantes sur une seule molécule d'acide nucléique.
  10. Procédé de détection d'un état dans une première réaction d'amplification comprenant:
    l'assemblage d'un premier mélange, dans lequel le premier mélange comprend une première matrice d'acide nucléique, une seconde matrice d'acide nucléique, un premier ensemble d'amorces spécifiques de la première matrice d'acide nucléique, et un échantillon comprenant des acides nucléiques échantillons ;
    la réalisation de la première réaction d'amplification avec le premier mélange pendant un premier nombre de cycles pour générer un produit et dans laquelle la seconde matrice d'acide nucléique n'est pas amplifiée ;
    après la réalisation de la première amplification, l'assemblage d'un second mélange, dans lequel le second mélange comprend le produit, et des réactifs pour réaliser un second dosage d'acide nucléique afin de détecter le produit et de détecter la seconde matrice d'acide nucléique dans lequel, le second dosage d'acide nucléique est quantitatif ;
    la réalisation du second dosage d'acide nucléique avec le second mélange ;
    la détermination et la comparaison d'un signal indicatif de la quantité d'un produit d'amplification de première matrice d'acide nucléique dans le second mélange et un signal indicatif de la quantité de seconde matrice d'acide nucléique dans le second mélange ; et
    dans lequel un état dans la première réaction d'amplification est détecté lorsque la différence entre la quantité du produit d'amplification de la première matrice d'acide nucléique et la quantité de seconde matrice d'acide nucléique dans le second mélange est inférieure à une valeur de seuil.
  11. Procédé selon la revendication 10, dans lequel
    (i) le second dosage d'acide nucléique est un dosage d'hybridation ; et/ou
    (ii) les réactifs pour réaliser le second dosage d'acide nucléique comprennent une sonde marquée spécifique du produit d'amplification de la première matrice d'acide nucléique et une sonde marquée spécifique de la seconde matrice d'acide nucléique.
  12. Procédé selon la revendication 10 ou 11, dans lequel la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont présentes en des quantités égales dans le premier mélange.
  13. Procédé selon l'une quelconque des revendications 10-12, dans lequel
    (i) la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont des matrices non chevauchantes sur une seule molécule d'acide nucléique ; et/ou
    (ii) la première réaction d'amplification est une PCR.
  14. Procédé selon l'une quelconque des revendications 10-12, dans lequel la première matrice d'acide nucléique et la seconde matrice d'acide nucléique sont des matrices chevauchantes sur une seule molécule d'acide nucléique.
  15. Procédé selon l'une quelconque des revendications 10-14, dans lequel
    (i) le premier mélange comprend en outre un troisième ensemble d'amorces spécifiques d'une matrice d'acide nucléique échantillon ; et/ou
    (ii) le premier nombre de cycles est de 10-20 ; et/ou
    (iii) la valeur de seuil équivaut à 210-220 fois la quantité de la seconde matrice d'acide nucléique.
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EP2989216A1 (fr) 2016-03-02
US10077469B2 (en) 2018-09-18
US11124826B2 (en) 2021-09-21
EP2989216A4 (fr) 2016-11-30
US20190078135A1 (en) 2019-03-14
CN105392903B (zh) 2021-05-04
CN105392903A (zh) 2016-03-09
WO2015168595A1 (fr) 2015-11-05
US20210381031A1 (en) 2021-12-09
US20150315629A1 (en) 2015-11-05

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